"No need for holmium laser, just crush the stone directly?"

The doctor on duty at the Department of Urology was really embarrassed that his mother opened the door. It was so embarrassing.

Just before the operation, he was quite proud to show off in front of Li Minghui the latest trendy holmium laser lithotripsy method in the Department of Urology. However, he did not expect that in the blink of an eye, the operation method would become what he calls the old history.

?

Just take the stone!

Will this work?

Only then did the CEO of the Department of Urology finally realize that the two emergency doctors in front of him were none other than the two MDT members of the emergency department who were very popular during this period.

The department of urology has always wanted to establish a cooperative relationship with the emergency department MDT. The doctors in the department even came up with some bad ideas, such as frequent consultations and more cooperation with doctors from the emergency department MDT, although it may be more irritating at first.

I find it annoying, but don’t you become familiar with it after doing it too many times?

It's a pity that the MDT of the emergency department didn't accept the recruitment at all. The director directly trained the doctors of the urology department so that if they were too busy at ordinary times, they could admit more patients for surgery. Don't look for the MDT doctor of the emergency department.

trouble.

Who would have thought that today, when we finally had the first opportunity to cooperate, we would encounter such a difficult patient.

Not only does the Department of Urology have no chance to perform, but it has to rely entirely on the MDT of the emergency department. Otherwise, the operation would not even be possible!

"That's really troublesome for you two. In fact, flexible ureteroscope lithotomy is relatively mature in our department, but usually we first use holmium laser to break up the stones, and then remove them all in one go. It's really a bit uncomfortable to remove the stones directly."

"It's okay, I also stayed in the Department of Urology for two or three years, and Mr. Wu was my teacher at the time." Li Minghui said with a smile.

"Mr. Wu, he is almost 70 this year. The department hired him back a few years ago to continue leading the treatment team. He officially retired last year!" the CEO of the Department of Urology said in surprise. He did not expect to meet someone from the department during the operation.

of old timers.

The chief knife changed hands.

Li Minghui stood at the position of the chief surgeon, and Su Jie followed him at the position of the first assistant.

The CEO of the Department of Urology still had not finished the operation. Although he still couldn't let go of this patient with special infectious stones, he looked at the two MDT doctors from the emergency department and he still told the doctor on duty:

"If you need anything, just call me next door. I'll take care of the patient over there and come right away!"

"I know, I know." The doctor on duty was now completely exhausted and had a huge psychological shadow. He did not dare to say any more unnecessary words.

The boss of the Department of Urology left in a hurry, but Li Minghui didn't even raise his head. His attention at this moment was completely attracted by this operation.

"My dear, it's been almost ten years since I was younger, and I never thought that I would still have the opportunity to perform flexible ureteroscopy surgery."

Li Minghui couldn't help but sigh to Su Jie: "So doctors have always been overwhelmed by their skills, especially doctors in the emergency department. They must know a little bit about everything so that they can deal with various complex and changeable problems.

"

Su Jie nodded and said, "Teacher Li is right!"

"Um."

Hearing Su Jie's respectful answer, Li Minghui's mouth hidden under the mask couldn't help but curl up. The knowledge that he had not finished pretending before... that he had not finished teaching, now finally has the opportunity to impart it heartily!

"Flexible ureteroscope lithotomy, you have seen the method of placing the flexible ureteroscope before. Next, is the most critical part of this operation, how to remove the stones in the ureter."

"For a urological surgeon, how to remove the stones during ureteral stone removal is an eternal problem and key!"

"The formation of stones requires a core. With the core, a large number of stone components in the urine will have attachments."

"Once an operation fails to remove the stones in the ureter, those small stones will become the core of the next round of stone growth, with a large number of stone components attached to them. From the moment the operation is completed, new large stones will appear.

It has already started growing.”

"Patients often develop symptoms of ureteral stones such as renal colic and incontinence of urination within a few months after being discharged from the hospital, and come to the hospital again for medical treatment."

Having said this, Li Minghui paused, and then said in a very solemn tone: "My teacher back then once said that a urologist's conscience is consistent with the clarity or turbidity of urine in the mirror.

"

"The clearer it is, the more responsible it is for the patient."

"The more turbid it is, the more indifferent it is to patients."

Su Jie nodded repeatedly when he heard this, while the doctor on duty at the Department of Urology next to him raised his head several times, but then lowered his head slowly.

Li Minghui saw that he had something to say. Taking advantage of his good mood, Li Minghui smiled and said, "If you have something to say, just say it."

The doctor on duty at the Department of Urology hesitated for a moment, but still said: "Now we use holmium laser lithotripsy. Most of the small stones are directly crushed into powder. Finally, they will be directly excreted with the urine. The liquid in the ureter must be

It's turbid. It seems like there's no way to evaluate a doctor's conscience."

Li Minghui's face turned dark instantly: "You are so good at talking, or else you will do the surgery?"

The doctor on duty at the Department of Urology immediately became honest again, shaking his head repeatedly and refusing to make any sound.

At this time, Su Jie thought of another question: "Nowadays, holmium laser can be used to directly break stones. So if holmium laser is not used, how to remove the stone?"

“Holmium laser is not a panacea!”

Li Minghui muttered dissatisfied, and then said stubbornly: "Even today, when holmium lasers are widely used, many huge and hard stones cannot be directly broken by holmium lasers. At this time, we need to rely on the skills of doctors to break them

Just 'take' it out!"

"Take it out?" Su Jie asked doubtfully.

Li Minghui nodded, and then said to the equipment nurse: "Build a stone basket."

The nurses in the operating room are basically trained by specialists, and the instrument nurses in the urology surgery department will always go to the urology surgery table to cultivate their proficiency in urology surgery system operations.

There are specialties in the profession, not just for doctors, but also for nurses.

Therefore, when Li Minghui said a strange name, the instrument nurse did not hesitate at all, reached out and handed the instrument to Li Minghui.

Su Jie stared at this strange device curiously.

This is a slender metal rod, with the top position like gathered lotus petals, and a hollow 'prison' made of thinner metal wires.

"The lithotomy basket, also known as the disposable sterile endoscopic lithotomy basket."

Li Minghui said: "The 'basket net' made of metal wires on the top is an important tool for grabbing stones and taking them out."

"No need for holmium laser, no pain, just the doctor's superb skills!"

Speaking of this, Li Minghui looked at the doctor on duty at the Department of Urology intentionally or unintentionally, and then said in a more serious tone:

"Su Jie, watch out. Today I will show you how clear and bright the conscience of a urologist is!"

The urologist shook his shoulders in fear, but still stubbornly muttered in an inaudible voice: "One use of the stone removal basket only costs tens of thousands of yuan. How can the urologist's conscience be so expensive?"

His voice was low enough, but the problem was that the operating table only had such a large space, and most of Li Minghui's attention was focused on him at the moment...

"Do you dare to speak louder?" Li Minghui suddenly said in a sinister voice.
Chapter completed!